Individual
MR. LONNIE STEVE SAPP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.ED, PTA
Contact information
Practice address
2700 N OAK ST BLDG A, VALDOSTA, GA 31602-5902
(229) 249-9600
Mailing address
2700 N OAK ST BLDG A, VALDOSTA, GA 31602-5902
(229) 249-9600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1220
PTA
GA
Enumeration date
06/19/2008
Last updated
06/19/2008
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